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  5. EXCELSIOR HEALTH MANAGEMENT INC.

EXCELSIOR HEALTH MANAGEMENT INC.

Company Details

Name: EXCELSIOR HEALTH MANAGEMENT INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 23 Mar 1995 (30 years ago)
Entity Number: 1906290
ZIP code: 10469
County: New York
Place of Formation: New York
Address: 2000 E GUN HILL RD, BRONX, NY, United States, 10469

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EXCELSIOR HEALTH MANAGEMENT INC 401(K) PLAN & TRUST 2023 113303485 2024-02-05 EXCELSIOR HEALTH MANAGEMENT, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 541600
Sponsor’s telephone number 7184053611
Plan sponsor’s address 2000 EAST GUN HILL ROAD, BRONX, NY, 10469
EXCELSIOR HEALTH MANAGEMENT INC 401(K) PLAN & TRUST 2022 113303485 2023-03-23 EXCELSIOR HEALTH MANAGEMENT, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 541600
Sponsor’s telephone number 7184053611
Plan sponsor’s address 2000 EAST GUN HILL ROAD, BRONX, NY, 10469

Signature of
Role Plan administrator
Date 2023-03-23
Name of individual signing RALPH ZIMMERMAN
EXCELSIOR HEALTH MANAGEMENT INC 401(K) PLAN & TRUST 2021 113303485 2022-03-19 EXCELSIOR HEALTH MANAGEMENT, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 541600
Sponsor’s telephone number 7184053611
Plan sponsor’s address 2000 EAST GUN HILL ROAD, BRONX, NY, 10469

Signature of
Role Plan administrator
Date 2022-03-19
Name of individual signing RALPH ZIMMERMAN
EXCELSIOR HEALTH MANAGEMENT INC 401(K) PLAN & TRUST 2020 113303485 2021-04-05 EXCELSIOR HEALTH MANAGEMENT, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 541600
Sponsor’s telephone number 7184053611
Plan sponsor’s address 2000 EAST GUN HILL ROAD, BRONX, NY, 10469

Signature of
Role Plan administrator
Date 2021-04-05
Name of individual signing RALPH ZIMMERMAN
EXCELSIOR HEALTH MANAGEMENT INC 401(K) PLAN & TRUST 2019 113303485 2020-09-15 EXCELSIOR HEALTH MANAGEMENT, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 541600
Sponsor’s telephone number 7184053611
Plan sponsor’s address 2000 EAST GUN HILL ROAD, BRONX, NY, 10469

Signature of
Role Plan administrator
Date 2020-09-15
Name of individual signing RALPH ZIMMERMAN
EXCELSIOR HEALTH MANAGEMENT INC 401(K) PLAN & TRUST 2018 113303485 2019-04-15 EXCELSIOR HEALTH MANAGEMENT, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 541600
Sponsor’s telephone number 7184053611
Plan sponsor’s address 2000 EAST GUN HILL ROAD, BRONX, NY, 10469

Signature of
Role Plan administrator
Date 2019-04-15
Name of individual signing RALPH ZIMMERMAN
EXCELSIOR HEALTH MANAGEMENT INC 401(K) PLAN & TRUST 2017 113303485 2018-06-13 EXCELSIOR HEALTH MANAGEMENT, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 541600
Sponsor’s telephone number 7184053611
Plan sponsor’s address 2000 EAST GUN HILL ROAD, BRONX, NY, 10469

Signature of
Role Plan administrator
Date 2018-06-13
Name of individual signing RALPH ZIMMERMAN
EXCELSIOR HEALTH MANAGEMENT INC 401(K) PLAN & TRUST 2016 113303485 2017-05-08 EXCELSIOR HEALTH MANAGEMENT, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 541600
Sponsor’s telephone number 7184053611
Plan sponsor’s address 2000 EAST GUN HILL ROAD, BRONX, NY, 10469

Signature of
Role Plan administrator
Date 2017-05-08
Name of individual signing RALPH ZIMMERMAN
EXCELSIOR HEALTH MANAGEMENT INC 401(K) PLAN & TRUST 2015 113303485 2016-06-15 EXCELSIOR HEALTH MANAGEMENT, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 541600
Sponsor’s telephone number 7184053611
Plan sponsor’s address 2000 EAST GUN HILL ROAD, BRONX, NY, 10469

Signature of
Role Plan administrator
Date 2016-06-15
Name of individual signing RALPH ZIMMERMAN
EXCELSIOR HEALTH MANAGEMENT, INC. 401(K) PLAN & T 2014 113303485 2015-05-18 EXCELSIOR HEALTH MANAGEMENT, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 541600
Sponsor’s telephone number 7184053611
Plan sponsor’s address 2000 EAST GUN HILL ROAD, BRONX, NY, 10469

Signature of
Role Plan administrator
Date 2015-05-18
Name of individual signing RALPH ZIMMERMAN
Role Employer/plan sponsor
Date 2015-05-18
Name of individual signing RALPH ZIMMERMAN

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 2000 E GUN HILL RD, BRONX, NY, United States, 10469

Chief Executive Officer

Name Role Address
RUDOLF KLEIN Chief Executive Officer 2000 EAST GUN HILL ROAD, BRONX, NY, United States, 10469

History

Start date End date Type Value
2025-03-02 2025-03-02 Address 2000 EAST GUN HILL ROAD, BRONX, NY, 10469, USA (Type of address: Chief Executive Officer)
2023-07-12 2025-03-02 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-07-12 2025-03-02 Address 2000 EAST GUN HILL ROAD, BRONX, NY, 10469, USA (Type of address: Chief Executive Officer)
2023-07-12 2023-07-12 Address 2000 EAST GUN HILL ROAD, BRONX, NY, 10469, USA (Type of address: Chief Executive Officer)
2023-07-12 2025-03-02 Address 2000 E GUN HILL RD, BRONX, NY, 10469, USA (Type of address: Service of Process)
2003-03-03 2023-07-12 Address 2000 EAST GUN HILL ROAD, BRONX, NY, 10469, USA (Type of address: Chief Executive Officer)
1999-04-01 2023-07-12 Address 2000 E GUN HILL RD, BRONX, NY, 10469, USA (Type of address: Service of Process)
1999-04-01 2003-03-03 Address 2000 E GUN HILL RD, BRONX, NY, 10469, USA (Type of address: Chief Executive Officer)
1995-03-23 2023-07-12 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
1995-03-23 1999-04-01 Address ATTENTION: MARVIN TENZER, ESQ., 405 LEXINGTON AVENUE, NEW YORK, NY, 10174, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250302021737 2025-03-02 BIENNIAL STATEMENT 2025-03-02
230712003350 2023-07-12 BIENNIAL STATEMENT 2023-03-01
130410002358 2013-04-10 BIENNIAL STATEMENT 2013-03-01
110323002324 2011-03-23 BIENNIAL STATEMENT 2011-03-01
090224002710 2009-02-24 BIENNIAL STATEMENT 2009-03-01
070319002569 2007-03-19 BIENNIAL STATEMENT 2007-03-01
050412002033 2005-04-12 BIENNIAL STATEMENT 2005-03-01
030303002814 2003-03-03 BIENNIAL STATEMENT 2003-03-01
020826000920 2002-08-26 CERTIFICATE OF AMENDMENT 2002-08-26
010316002756 2001-03-16 BIENNIAL STATEMENT 2001-03-01

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8914768510 2021-03-10 0202 PPS 2000 E Gun Hill Rd, Bronx, NY, 10469-6016
Loan Status Date 2021-12-21
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 309707
Loan Approval Amount (current) 309707
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Bronx, BRONX, NY, 10469-6016
Project Congressional District NY-14
Number of Employees 12
NAICS code 551114
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 48270
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address COLUMBUS, OH
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 311806.3
Forgiveness Paid Date 2021-11-16
2049207104 2020-04-10 0202 PPP 2000 East Gun Hill Road 0.0, BRONX, NY, 10469-6016
Loan Status Date 2021-08-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 292312
Loan Approval Amount (current) 292312
Undisbursed Amount 0
Franchise Name -
Lender Location ID 48270
Servicing Lender Name JPMorgan Chase Bank, National Association
Servicing Lender Address 1111 Polaris Pkwy, COLUMBUS, OH, 43240-2031
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address BRONX, BRONX, NY, 10469-6016
Project Congressional District NY-14
Number of Employees 12
NAICS code 551114
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 194093
Originating Lender Name JPMorgan Chase Bank, National Association
Originating Lender Address CHICAGO, IL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 295932.61
Forgiveness Paid Date 2021-07-12

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Related by address

2000 E GUN HILL RD, BRONX, NY, United States, 10469

BRONX HARBOR HEALTH CARE COMPLEX, INC.

Date of last update: 14 Mar 2025

Sources: New York Secretary of State

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